3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 3. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of two months after DHS approves the documentation format.

On 5/28/25 an unannounced monitoring was conducted at the facility. It was verified by staff #1 that child #1 was left unsupervised on the toddler's playground at approximately 5:30 PM on 5/2/25. Staff person #2 had left the child behind on the toddler playground unsupervised while staff transitioned the rest of the class inside to the Movement Room during closing procedure. The child had been unsupervised on the playground for approximately 25 minutes. Staff person #2 had been unaware that child #1 had been missing from the group. Child #1 was found by the staff person #1 laying on the bench on the toddler playground at 5:56PM.

Corrected Corrected by Jul 28, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #5 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4 and #5 may not work in a child care position at the facility.

At the time of inspection on 5/28/25, file of staff person #3 did not include mandated reporter training and disclosure statement. File of staff person #4, who is not a provisional hired, did not include disclosure statement and DHS approved FBI clearance. File of staff person #5, who is not a provisional hire, did not include DHS required FBI clearance and NSOR certificate. File of staff person #6 did not include the disclosure statement.

Corrected Corrected by Jun 12, 2025

Category: background checks. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

At the time of inspection on 5/28/25, file of staff person #1 did not include written record that emergency plan training was conducted on an annual basis. Last record of emergency plan training was on 4/24/24. Written verification that staff person #2, #3, and #6 received training regarding the emergency plan at the time of initial employment was not observed in file of staff person #2, #3, and #6.

Corrected Corrected by Jun 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

at the time of inspection on 5/28/25, file of staff person #1 did not include verification that staff person #1 participated in a fire safety training at least annually.

Corrected Corrected by Jun 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

At the time of inspection on 5/28/25, file of staff person #3 did not include verification that staff person #3 has completed pre-service training that includes Pediatric First Aid/CPR, from a PQAS-approved trainer and PQAS approved curriculum within 90 days of their date of hire (see LIS code sheet). File of staff person #5 and #6 did not include a complete Pediatric First Aid/CPR training as well as health and safety training.

Corrected Corrected by Jun 30, 2025

Category: health medication. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

At the time of inspection on 5/28/25, file of staff person #1 did not include an annual staff evaluation. Last evaluation on file is from 2/23/24.

Corrected Corrected by Jun 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

At the time of inspection on 5/28/25, agreement of child #1 did not include information regarding services provided.

Corrected Corrected by Jun 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

At the time of inspection on 5/28/25, agreement of child #1 did not include specify the persons designated to whom the child may be released.

Corrected Corrected by Jun 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(a)/3270.124(b)(3) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

At the time of inspection on 5/28/25, emergency contact form of child #1 did not include information who shall be contacted in an emergency. Emergency contact form of child #1 did not include the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Jun 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

At the time of inspection on 5/28/25, emergency contact form of child #1 did not include information on health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Jun 12, 2025

Category: health medication. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

At the time of inspection on 5/28/25, emergency contact form of child #1 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jun 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

At the time of inspection on 5/28/25, emergency contact form and agreement of child #1 did not include written verification that both forms were reviewed and updated by parents at least once in a 6-month period. Last review of emergency contact form was on 5/3/24.

Corrected Corrected by Jun 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

At the time of inspection on 5/28/25, file of staff person #1 included a health assessment dated 4/10/23 which is conducted more than 24 months ago. File of staff person #6 did not include health assessment conducted within 12 months prior to providing initial service in a child care setting

Corrected Corrected by Jun 16, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

At the time of inspection on 5/28/25, a health assessment on file for Staff #5 did not include an examination for communicable diseases and the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Jun 23, 2025

Category: health medication. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

At the time of inspection on 5/28/25, file of staff person #3, #4, #5, and #6 did not include acceptable verification that education had been evaluated to determine US equivalency.

Corrected Corrected by Jul 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

At the time of inspection on 5/28/25, file of staff person #6 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jun 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #2, #4, and #5 may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

During the Renewal inspection on 7/16/24, it was observed that the records of staff person #1, staff person #2, staff person #4 and staff person #5 did not contain an acceptable Federal Bureau of Investigations (FBI) clearance

Corrected Corrected by Aug 19, 2024

Category: supervision. Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

During the renewal inspection on 7/16/24, it was observed that there were toxic plants throughout the facility in classrooms and foyer.

Corrected Corrected by Jul 17, 2024

Category: physical safety. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the renewal inspection on 7/16/24, it was observed that the records of staff person #3 did not include verification of education. The records of staff person #6 did not include verification of childcare experience.

Corrected Corrected by Jul 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During the renewal inspection on 7/16/24, it was observed that the records of staff person #7 did not include acceptable verification of education.

Corrected Corrected by Jul 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

At the time of the initial inspection facility persons #1 and 2 did not have Emergency Plan training on file.

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

At the time of initial inspection facility person #2 did not have Mantoux test reading and results on file at the facility.

Corrected Corrected by Mar 23, 2023

Category: health medication. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

At the time of initial inspection facility person #2 dd not have two written nonfamily references on file.

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.